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Koenraad Van Braeckel, PHD
Clinical Psychologist in San Diego, California
NPI 1750791307

Koenraad Van Braeckel is a Clinical Psychologist based in San Diego, CA and is specialized in Clinical. Koenraad Van Braeckel practices in San Diego, CA and has the professional credentials of PHD. The NPI Number for Koenraad Van Braeckel is 1750791307 and holds a License No. (California).

The current practice location address for Koenraad Van Braeckel is 3655 Ruffin Rd Ste 100, San Diego, CA and can be reached out via phone at 951-528-2153.

Location: 3655 Ruffin Rd Ste 100, San Diego, CA, 92123-1847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750791307
Provider Name
Koenraad Van Braeckel
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
3655 Ruffin Rd Ste 100, San Diego, CA, 92123-1847
Phone Number
951-528-2153
Fax Number
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3655 Ruffin Rd Ste 100
City
San Diego
State
California
Zip
92123-1847
Phone Number
951-528-2153
Fax Number
person
Provider Business Mailing Address Details
Address
3655 Ruffin Rd Ste 100
City
San Diego
State
California
Zip
92123-1847
Phone Number
951-528-2153
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
072303 (Iowa)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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